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Re: Postmenopausal pelvic free fluid From: Andrew Folley (agfolley@hotmail.com) Tue May 8 19:41:12 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: Postmenopausal pelvic free fluid" Previous message: Allan: "Postmenopausal pelvic free fluid" In reply to: Allan: "Postmenopausal pelvic free fluid" Next in thread: Garry E. Siegel, M.D.: "Re: Postmenopausal pelvic free fluid" Reply: Garry E. Siegel, M.D.: "Re: Postmenopausal pelvic free fluid" I am not certain what the significance of peritoneal fluid would be in this lady??? I would be inclined to wait and watch recheck echo in 3 to 6 months or at most do an office culdecentesis looking at the fluid for cytololgy and protein level etc. It seems like laparoscopy might be doing too much at this point. agf >From: AllanHo@aol.com (Allan) >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: Postmenopausal pelvic free fluid >Date: Tue, 8 May 2007 17:46:34 -0500 > >What would you do? > >60 yo P3 menopausal since age 45. New patient to me 3 weeks ago with no >specific complaints. Had some left sided tenderness during bimanual >exam. Transvaginal ultrasound showed free fluid in cul de sac. (Uterus >was small. Ovaries were not seen.) Largest pocket 2x2x2cm. CBC, TSH, >CEA, CA125, Liver & renal function tests were all normal. Chest x ray, >CT abdominal & pelvis were non-contributory. Guaiacs were negative. >Colonoscopy was negative. Same amount of pelvic free fluid in CDS three >weeks later. Patient is asymptomatic. > >I am thinking about doing a culdocentesis, but also feel that going >directly to laparoscopy may yeild more information and avoid the >possibility of vaginal contamination of the fluid for culture. Thanks >in advance for your input. > >-- >Allan >Solo practice >Southwest, PA _________________________________________________________________ PC Magazine’s 2007 editors’ choice for best Web mail—award-winning Windows -- _________________________________________________________________ Live Hotmail. http://imagine-windowslive.com/hotmail/?locale=en-us&ocid=TXT_TAGHM_migration_HM_mini_pcmag_0507 Next message: Garry E. Siegel, M.D.: "Re: Postmenopausal pelvic free fluid" Previous message: Allan: "Postmenopausal pelvic free fluid" In reply to: Allan: "Postmenopausal pelvic free fluid" Next in thread: Garry E. Siegel, M.D.: "Re: Postmenopausal pelvic free fluid" Reply: Garry E. Siegel, M.D.: "Re: Postmenopausal pelvic free fluid"

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